Interested Party Information. To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that identifies each Person who opens an account. For a non-individual Person such as a business entity, a charity, a Trust or other legal entity, Escrow Agent will ask for documentation to verify its formation and existence as a legal entity. Escrow Agent may also ask to see financial statements, licenses, identification and authorization documents from individuals claiming authority to represent the entity or other relevant documentation.
Interested Party Information. To help the government fight the funding of terrorism and money laundering activities, federal law requires the Escrow Agent to obtain, verify and record certain information that identifies each person who opens an escrow account. For a non-individual Person such as a business entity, a charity, a trust or other legal entity, the Escrow Agent will ask for documentation to verify its formation and existence as a legal entity. The Escrow Agent may also ask to be provided financial statements, licenses, identification and authorization documents from individuals claiming authority to represent the entity or other relevant documentation. The parties acknowledge that a portion of the identifying information set forth herein is being requested by the Escrow Agent in connection with the USA Patriot Act, Pub.L.107-56 (the “Act”), and each agrees to provide any additional information requested by the Escrow Agent in connection with the Act or any other legislation or regulation to which Escrow Agent is subject, in a timely manner.
Interested Party Information. Please provide information for each interested party (“Interested Party”) and check the information you would like such parties to receive: Interested Party 1 Name: Address: State of Legal Domicile: Email Address: Please send: Full Documentation Client Statements Email Performance Updates Interested Party 2 Name: Address : State of Legal Domicile: Email Address: Please send: Full Documentation Client Statements Email Performance Updates TO: POTOMAC SELECT LLC The undersigned (“Subscriber”), by executing and delivering this Subscription Agreement (“Agreement”) in connection with the purchase of interests (“Interests”) in one or more series specified above (“Series”) of Potomac Select LLC (the “Fund”), a Delaware “multi- series” limited liability company, and by delivering payment of the Capital Contributions to such Series set forth above, hereby agrees to purchase Interests in each such Series. Each capitalized term used but not defined herein has the meaning assigned to such term in the Private Placement Memorandum of the Fund, dated as of May 17, 2006 (as it may from time to time be amended, “Memorandum”), or, if not defined in the Memorandum, in Limited Liability Company Agreement of the Fund (as it may from time to time be amended, the “LLC Agreement”). The Subscriber agrees that it may make an additional Capital Contribution to one or Series in accordance with the terms of the Memorandum and the LLC Agreement in effect on the Date of Investment (as defined below), and that each representation and warranty set forth herein shall be deemed to be made and repeated as of each Date of Investment.
